Active NPI
Prosthetic & Orthotic Associates of Hawaii
- Prosthetic/Orthotic Supplier
- Honolulu, HI
National Provider Identifier
1780247452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- PROSTHETIC & ORTHOTIC ASSOCIATES OF HAWAII
- Practice address
- 1314 S King St Ste 1564
Honolulu, HI 96814-2072 - Phone
- (808) 597-1773
- Fax
- (808) 597-1772
- NPI assigned
- Apr 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Stephnaie Anne Kingston
- Title
- Administrator, Registered Agent
- Phone
- (407) 245-7770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1314 S King St Ste 1564
Honolulu, HI 96814-2072
Mailing address
1314 S King St Ste 1564
Honolulu, HI 96814-2072
Phone (808) 375-4790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210202002920 | HI | DME Supplier - Prosthetic Personnel | 0749694701 | Practice locations: Honolulu, HI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Poa Hawaii | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1314 S King St
Ste 1564
Honolulu, HI 96814
Phone (808) 591-9339
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610928000000",
"number": "1780247452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 S KING ST STE 1564",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142072",
"telephone_number": "808-375-4790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 S KING ST STE 1564",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142072",
"telephone_number": "808-597-1773",
"fax_number": "808-597-1772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSTHETIC & ORTHOTIC ASSOCIATES OF HAWAII",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-18",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A",
"authorized_official_last_name": "KINGSTON",
"authorized_official_first_name": "STEPHNAIE",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "ADMINISTRATOR, REGISTERED AGENT",
"authorized_official_telephone_number": "407-245-7770",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.